A nurse is teaching a client who is preoperative for a neobladder urinary diversion.
Which of the following statements should the nurse make?
You will have an internal pouch to store your urine.
You will not be able to control your urination.
You will have a stoma that is located in your abdomen.
You will wear an external collection bag to drain your urine.
The Correct Answer is A
Choice A rationale
Neobladder urinary diversion involves creating an internal reservoir or pouch from a segment of the intestine to store urine. This new bladder is then connected to the urethra,
enabling the client to void through the urethra. This method closely mimics natural urination, allowing the client to have some control over urination.
Choice B rationale
This is incorrect because a neobladder is designed to allow the client to control urination. While there might be a learning curve for the client to adapt to the new bladder, the ultimate
goal is to achieve continence.
Choice C rationale
This describes an ileal conduit, another type of urinary diversion, where a stoma is created on the abdomen for urine to pass into an external bag. The neobladder does not involve a
stoma for urination.
Choice D rationale
This is incorrect as it pertains to an ileal conduit or urostomy. Clients with a neobladder do not require an external collection bag since urine is stored internally in the constructed
bladder and can be passed through the urethra. .
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Correct Answer is C
Explanation
Choice A rationale
Including toilet paper with the collected urine can contaminate the sample and affect the accuracy of the test results.
Choice B rationale
The first void at the start of the collection period should be discarded to ensure that only urine produced during the 24-hour period is collected.
Choice C rationale
Refrigerating the urine during the collection period helps preserve the sample and prevent bacterial growth, which could alter the test results.
Choice D rationale
The last void at the end of the collection period should be included to ensure that the full 24-hour period is accounted for in the collection.
Correct Answer is C
Explanation
Choice A rationale
Cheese is high in calcium, which can interfere with the absorption of iron by binding to it in the digestive tract, making it less available for absorption.
Choice B rationale
Antacids containing magnesium can interfere with the absorption of iron by increasing the pH of the stomach, reducing the solubility and absorption of iron.
Choice C rationale
Orange juice is high in vitamin C, which can enhance the absorption of iron by reducing it to a form that is more easily absorbed by the body.
Choice D rationale
Milk contains calcium, which can inhibit the absorption of iron. Calcium competes with iron for absorption in the intestines, leading to reduced iron absorption.